SCOTT WILLIAM ZACKOWSKI (NPI# 1265548259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265548259 |
| Entity Type | Individual |
| Full Name | SCOTT WILLIAM ZACKOWSKI |
| Credential | MD |
| Practice Address |
1200 N Elm St Greensboro NC 27401-1004 |
| Mailing Address |
Po Box 602598 Wake Forest University Health Sciences Charlotte NC 28260-2598 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3367162255 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 06-01002 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5905968 | 05 |
| Street Address |
1200 N ELM ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485346 | Vineet Kumar Gupta | Pediatrics | 1200 N Elm St, Pediatric Critical Care Services, Greensboro, NC 27401-1004 | 2005-05-27 |
| 1114524469 | Jamilla Walker | Registered Nurse | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-10-08 |
| 1770190514 | Sara Elizabeth Early | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-25 |
| 1972110708 | Jessica Asaro | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-25 |
| 1316554231 | Amy Jeanette Brown Stephens | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-24 |
| 1588281588 | Christopher Jordan Walston | Pharmacist | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-06-25 |
| 1497378632 | Sadia Aslam | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-05-22 |
| 1235752825 | Rylee Christian | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-05-18 |
| 1730701590 | Ellen Jones | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-05-14 |
| 1508488065 | Steven Craig Winters Jr. | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629183 | Claudia J Gibbons | Emergency Medicine | Po Box 10467, Greensboro, NC 27404-0467 | 2017-10-03 |
| 1114096039 | Charles Sheldon | Emergency Medicine | 7 Worthdale Ct, Greensboro, NC 27408-3636 | 2006-11-07 |
| 1972522423 | Anne Dickinson Alexander | Emergency Medicine | 810 Warren St, Greensboro, NC 27403-2340 | 2006-07-18 |
| 1366469108 | Simon E. Portee | Emergency Medicine | 120 Siloam Road, Greensboro, GA 30642 | 2006-07-17 |
| 1083649289 | Michael Younshik Ghim | Emergency Medicine | 2005 Pisgah Church Rd, Suite A, Greensboro, NC 27455-3309 | 2006-07-12 |
| 1750320727 | Lana S. O'neal | Emergency Medicine | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2006-06-05 |
| 1780652693 | Diamond Family Practice, Pllc | Emergency Medicine | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2006-03-08 |
| 1538791579 | Athens Clarke Medical Enterprises LLC | Emergency Medicine | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2020-02-07 |
| 1346758075 | Lindsey Layden | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2018-01-16 |
| 1154852432 | Richard Dykstra | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2017-03-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.